Path Analysis: Interrelationships Between Nurse Manager Competencies, Practice Environment Perceptions, and Frontline Nurses' Intent to Stay.

Autor: Pabico C; Author Affiliations: Sr. Director (Dr Pabico), Pathway to Excellence Program, and Independent Nurse Research Consultant (Dr Swartwout), American Nurses Credentialing Center (ANCC), Silver Spring, Maryland; Associate Professor (Dr Park), University of Kansas School of Nursing; and Nurse Scientist (Dr Warshawsky), Clinical Research, Press Ganey Associates, Chicago, Illinois., Park SH, Swartwout E, Warshawsky NE
Jazyk: angličtina
Zdroj: The Journal of nursing administration [J Nurs Adm] 2024 Sep 12. Date of Electronic Publication: 2024 Sep 12.
DOI: 10.1097/NNA.0000000000001485
Abstrakt: Objective: To examine the correlation between nurse manager (NM) competencies, work environment (Practice Environment Scale of the Nursing Work Index [PES-NWI]), and frontline nurses' intent to stay; the direct effect of NM competency on frontline nurses' intent to stay; and the indirect effect of NM competency on frontline nurses' intent to stay, mediated by PES-NWI.
Background: PES-NWI and NMs' competency can impact frontline nurses' intent to stay.
Methods: Cross-sectional study with secondary analysis of NM Competency and NDNQI® (National Database of Nursing Quality Indicators®) RN Survey data with path analysis for effects of the model's variables.
Results: Positive, weak correlations between NM competencies and frontline nurses' practice environments were found; NM competencies and frontline nurses' intent to stay were not correlated. Paths were NM competency/PES-NWI (β = 0.20, P = 0.001) and PES-NWI/intent to stay (β = 0.55, P < 0.001); NM competency/intent to stay was not significant. Indirect effect of NM competency on frontline nurses' intent to stay was mediated through PES-NWI (β = 0.11, P = 0.002; 95% confidence interval, 0.05-0.17).
Conclusions: Investing in NMs' competency can help create supportive work environments and frontline nurses' intent to stay.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc.)
Databáze: MEDLINE